Preliminary Phytochemical Screening and Antimicrobial Activities of Some Medicinal Plants Used In Ebiraland

Dried leaves of Abrus precatorius, Desmodium ramosissimum, Scoparia dulcis and aerial parts of Phyllanthus amarus used in folkloric medicine of Ebiraland were extracted with hexane, methanol and water sequentially using soxhlet apparatus. The extracts were screened for antimicrobial activities against Bacillus subtilis, E. coli, Pseudomonas aeruginosa, Salmonella typhi, Staphylococcus aureus and Candida albicans using the agar-cup diffusion protocol. All the extracts except the hexane extract of Abrus precatorius were active against at least two of the test microorganisms at the highest concentration of 100 mg/ml used in this study. The aqueous and methanolic extracts of Phyllanthus amarus were active against all the test microorganisms. The methanolic extract of Phyllanthus amarus also showed a broad spectrum of activity with a minimum inhibitory concentration (M.I.C.) of 1.56 mg/ml against all the test microorganisms. The extracts were also screened for secondary metabolites and the result indicated the presence of alkaloids, saponins, tannins and terpenoids. The results of this investigation, appears to justify the ethnomedicinal uses of these plants for the traditional treatment of infectious diseases. However, further investigation is required to obtain more information on their antimicrobial potentials and also to isolate their bioactive compounds. Keywords: Medicinal plants, antimicrobial activity, minimum inhibitory concentration, phytochemical screening

The management and outcome for patients with chronic subdural hematoma: A prospective, multicenter, observational cohort study in the United Kingdom

OBJECTIVESymptomatic chronic subdural hematoma (CSDH) will become an increasingly common presentation in neurosurgical practice as the population ages, but quality evidence is still lacking to guide the optimal management for these patients. The British Neurosurgical Trainee Research Collaborative (BNTRC) was established by neurosurgical trainees in 2012 to improve research by combining the efforts of trainees in each of the United Kingdom (UK) and Ireland's neurosurgical units (NSUs). The authors present the first study by the BNTRC that describes current management and outcomes for patients with CSDH throughout the UK and Ireland. This provides a resource both for current clinical practice and future clinical research on CSDH.METHODSData on management and outcomes for patients with CSDH referred to UK and Ireland NSUs were collected prospectively over an 8-month period and audited against criteria predefined from the literature: NSU mortality < 5%, NSU morbidity < 10%, symptomatic recurrence within 60 days requiring repeat surgery < 20%, and unfavorable functional status (modified Rankin Scale score of 4–6) at NSU discharge < 30%.RESULTSData from 1205 patients in 26 NSUs were collected. Bur-hole craniostomy was the most common procedure (89%), and symptomatic recurrence requiring repeat surgery within 60 days was observed in 9% of patients. Criteria on mortality (2%), rate of recurrence (9%), and unfavorable functional outcome (22%) were met, but morbidity was greater than expected (14%). Multivariate analysis demonstrated that failure to insert a drain intraoperatively independently predicted recurrence and unfavorable functional outcome (p = 0.011 and p = 0.048, respectively). Increasing patient age (p < 0.00001), postoperative bed rest (p = 0.019), and use of a single bur hole (p = 0.020) independently predicted unfavorable functional outcomes, but prescription of high-flow oxygen or preoperative use of antiplatelet medications did not.CONCLUSIONSThis is the largest prospective CSDH study and helps establish national standards. It has confirmed in a real-world setting the effectiveness of placing a subdural drain. This study identified a number of modifiable prognostic factors but questions the necessity of some common aspects of CSDH management, such as enforced postoperative bed rest. Future studies should seek to establish how practitioners can optimize perioperative care of patients with CSDH to reduce morbidity as well as minimize CSDH recurrence. The BNTRC is unique worldwide, conducting multicenter trainee-led research and audits. This study demonstrates that collaborative research networks are powerful tools to interrogate clinical research questions.Society of British Neurological Surgeons. PJH supported by NIHR Research Professorship and NIHR Cambridge Biomedical Research Centre.This is the author accepted manuscript. It is permanently embargoed to comply with the publisher’s copyright terms. The final version is available via https://doi.org/10.3171/2016.8.JNS1613

Outcomes following surgery in subgroups of comatose and very elderly patients with chronic subdural hematoma

Increasing age and lower pre-operative Glasgow coma score (GCS) are associated with worse outcome after surgery for chronic subdural haematoma (CSDH). Only few studies have quantified outcomes specific to the very elderly or comatose patients. We aim to examine surgical outcomes in these patient groups. We analysed data from a prospective multicentre cohort study, assessing the risk of recurrence, death, and unfavourable functional outcome of very elderly (≥ 90 years) patients and comatose (pre-operative GCS ≤ 8) patients following surgical treatment of CSDH. Seven hundred eighty-five patients were included in the study. Thirty-two (4.1%) patients had pre-operative GCS ≤ 8 and 70 (8.9%) patients were aged ≥ 90 years. A higher proportion of comatose patients had an unfavourable functional outcome (38.7 vs 21.7%; p = 0.03), although similar proportion of comatose (64.5%) and non-comatose patients (61.8%) functionally improved after surgery (p = 0.96). Compared to patients aged < 90 years, a higher proportion of patients aged ≥ 90 years had unfavourable functional outcome (41.2 vs 20.5%; p < 0.01), although approximately half had functional improvement following surgery. Mortality risk was higher in both comatose (6.3 vs 1.9%; p = 0.05) and very elderly (8.8 vs 1.1%; p < 0.01) groups. There was a trend towards a higher recurrence risk in the comatose group (19.4 vs 9.5%; p = 0.07). Surgery can still provide considerable benefit to very elderly and comatose patients despite their higher risk of morbidity and mortality. Further research would be needed to better identify those most likely to benefit from surgery in these groups

Hydrolysis of certain Nigeria: Cereal starches using crude fundal amylase

No Abstract

Economic Analysis Of Rabbit Production: On Farm Research Approach

Many studies have justified rabbit production as a desirable and profitable venture. Most of these research investigations projected their results based on data collected through farm surveys that greatly relied on the memory recall capabilities of the respondents. These data apart from being prone to biasedness, may not he too insightful as to depict the true situation on ground. It is on this premise that this study was conceived to ascertain the cost and revenue structure as well as theprofitability and efficiency of rabbit production, through actual production process using On-farm Research Approach the findings of the study were then compared with a similar one that made use of data collection through farm survey. Three does and one buck were used as start-off for the on-farm research using the prevalent small scale traditional backyard method of rabbit production. Two cycles of production were monitored and used to project file cycle which is the average for subsistent rabbit production in the tropics. The results re-emphasize rabbit production as a profit and efficient productive venture. Two hours of labour time was found to be necessary to produce 1 kg of rabbit meat. The rate of return to investment was found to be 152% (that is,₦1.52 return to every ₦l.00 invested). That for fixed cost was 1299% (that is ₦12.99 return to every ₦1.00 incurred on fixed asset) while the rate of return on variable cost was 274.5% that is ₦2.75 return to every ₦1.00 invested on variable inputs). These were quite higher when compared with a similar research investigation that depended on farm survey. The technical data derived from this indicate that technical data are more efficient and dependable in determining production outcomes on the filed relative to survey data. As a result of this, on-farm research was thus suggested as a way by which correct information on cost, returns and profitability of agricultural production could be obtained especially for baseline data collection.Keywords: On-farm research, economic, rabbit production